Loading...
Permit ' 'LE TRIhSf-i F=+Ef+,h'z'T ,ffr , 0 , , . , • PERM I T. #a ELC96•-11 7= '. COM MUNITY DEVELOPMENT, DEPARTMENT' " . • • 13125 :91Wki l Blvd .Tigard, Oregoni 97223.8199' _(503) 839 -4171 ' , , i-'f -iR r L `31 1 ;- -i -i�1i.14'cio - - r.iITE ,,,I ;iir:E acs. 4 (_.t�51`1 4 R D, i�O , L..!%.1, .1. a4' a ; „ - • SUEDI s SIi_iN ... . _ : .. , ZOiN'.ING9:1.- :°-- .-''• C)' = , , P -o j et=.t Di?s.cr ' pt 1 :i1st -, - ,u •O'ic'.'sirincl1 . cirf. ='{1 or a I•i'm1td 'en er '/ pane I.' '. , - - --, RES 'DENT 01__ UNIT- - -' - -_ ' _. -_ i EI1F;' 'SRVC, FEED `E RS —= -- • ' • . -- i 1 i I ::,C:r LI:. 1NEOC_It— _._.__ - 1 000 Si" OR '1_ESS. . . 1:i . . . 0i -- •• 0•2t. •a.iip. a _ . . . . d it - I1 t r-, r 'J a e +. �. 'l�l'1�- -( ' I i�.i GAT L1 'E CrL# ADD' i.. 5008 , F . .. ,ICI . r "'t1 , :=1.001, a m'pi. . .. '. i ' SIG"1\l /OUT, L I.NE� - LTG. . 0 . L�IM.1 TED Lf•IERO ( . . . . c 0 1 -- ;6 V..I0 , . 0 . _- i i= I ! , ... . 2 n s .�.. t; ^� _ 1 "Ltiip '.i 1 L 4. i 0 .-1 . . .$.,. ' `i It CR - -Lt(-ifEL, ( I., CO . 1... I`1'Ir9i`vC' ". � ' /��.•,aJCls`• FD v� F•;t 14•- i171' I C. � ' �, ;6J ...,�Lic. ` BR ,, ,..i 7 - 7 ,'... , --ADD i._ ':E SS -E�.T -IDNS- - „ �.........>...iJ�.ii'v Il,..l_� . 1' -.- _- � .... —.-- 4 -5 r. r "I' Y i�''b - (. )1'T�-�-..__';- - m _�:. ,- 9 , -_.. 0 �,.•, -_• 21 1� .:s ,fap o .. ?. ', ,0. , W /SEF VICE. O1R FEEDER: '0, r� T..NF. ;1'o-::C.�- T`I'CIr•1� -, .. . ' 0' 1. -- 400- . = R r o e . . . . -. 0 3 st 14/0 :-.. Pvo o FDR. 0 ' - r•` R „kO�.)r �'� . ; 0.• 401 - Goo amp. .. . ' 0'. E1-) ADu' L aRNC I C 1 RC:: 17.1' - ' I'ri r•''L1=1Fu T . .. .. . C . 601 ").,.;.311:10, c`rfilr];, , . . . . tG - •--- •-- --- •-- - - - -- -- =PLC' N - ''Ri V IEL SECT IONTM - - -- -- . --- •- - - ---- - 1 IhZIiLt4- .am /vl 's•I ..... 0 ) - =4 RES UN TG.. , ... :'= 6017t -VGLT - N0111 N!AL.'. . Re.conr,,ect on Sy .., ... 1 , SVC,FA ?R )= 225 AMPS_ . CLASS o-aREA /-S EC' _OCC.. - . - , 1<. aCa i” t � 6 - - _;� :SW' REE7L-vCCD LN ' , F-'RI1 i - 1; ' ''40.' ,?1 i:.TE.. '1ri.. /LVi..3,E gt' -_a7 7329 , • ' SU'M'f 105''- u••' 5PCT '$ - _ 00, C , J S .tf1• -_Sr i -:i- /9JC i - 2 7L 2' I- 1) RTLi- - IND;r OR - 9722 4 ' , _ -_ q .�._ -- _ .._.___ a_ - __ t (�C1`1O,1' u:_.7 " 1..LL C T P I C 1 r3^. - .. }2-. 00 . '•r D I Y1._ , 55 ?G rr> -131, , , . • . - - -' -- RE1r'u i �;EI? I N :'PEC T 100 '- - - -._- -. -. ' 'F'ORTI_A;4D OR '�„_i'i.. - W:11'1 Co' . .fir' I;a 1 I-ima t 1 ; F II, it R Yr _i {..iJ !__ ...•.J' - 1. - ilie E J. Fs,c w 7 i ;!,e. r vi • ' I, .. x'1'c. i i 1ss c . , ., c to '`_ . - Li?ti3 -if - 6iL lf 1 . - , , ' ,I ig?71' s,.:i,ii1ipal'Cede, State of f i 5p cieitij Codes and all ether. 'IDe - rn itt: e= Siq- iiat'1_lr`e' - ,' ' • • dp)1icati'; ia i?li work will be done 'in a•'i dd2i, =e. with . - - . - - - - axxY,oyed plans; 'his. pertlit will s "'1x1'72 if -WGr'i{ i5 itJt 5far:ted' / ' • tR ':tlim,!t• days . 1,1 if i i5 Gi.1ip_i'i 101' ii, - C 4 G r/e1=:_. 4N_�_1ti,i1 / ,_ that 'si5.`1 L"1w;;y. t - - - _ `t . • , t- , I _ si.t.eti ay - -- -i,:. ' -- -- - - - -. _- .�------ - - - - -- ---- U6�i1° -1 R iNSTALLPT:I.Or.i. •,C)INfi_'(•, �._ __- �_ -_._ -_ -:v ;� - 'Tie iy iStutI .1ation _._ b i nn-.; tii,:Zd' o,n• pi`op ,r "'t'y, I own Wi r=.11 ii- E. f 7113 t • int nc1ed ;I:O'r,'" Sale- , i te 3 a. c r thnt: ,- 0WNEr 8- . -S IGI' TURF; ..� — -- L fl L.E . . .. - , -- -- -1=- -.. - - . - -' : 01\11- (� L T o R i h•a S T H1 L �=1 '.T I d=1N . 01.1 t y ' - - . - -- — .- - • S, t =i {'; I 1 i�F E ` F- BUF ='F ELEC' f f .. r�_h �... /? b C1f1 �0_A -2___ .. ' 's: iTE 3, '01- 9e- ' ..__ - _._ ... . t I, I f '.- ,, G F� Y zt °• r _ ion � 63..9=4:175 .- _ _ : ` "_ .._ - n 's 1. r, Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # ac 96 -0J 75 r i ,� Date Issued 3- as - 96 �. I Phone (503) 639 -4171 A. FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Cirrus Logic Number of Inspections per permit allowed Address 6650 S.W. Redwood Lane #105 Service included: Items Cost(ea) Sum City /State /Zip Portland, OR 97224 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 Name (or name of business) Each additional 500 sq. ft. or portion thereof $25.00 1 - Commercial © Residential 111 Limited Energy $2500 Each Manurd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders Electrical Contractor Bachofner Electric Installation, alteration, or relocation amps or less 5 S.E. Main 20 1 $60.00 2 amps to 400 amps $80.00 2 Address Portland State OR Zi 97214 401 amps to 600 amps $120 00 2 City r p 601 amps to 1000 amps $180 00 2 Phone No. 233 -2006 Over 1000 amps or volts $340 00 2 Job NO. 0605 Reconnect only $so 00 2 contractor's license NO. 26 -451C 44569 4c. Temporary Services or Feeders Contractor's Board Reg. No. Installation, alteration, or relocation 2 Signature of Supr. Elec'n �. / 200 amps or less 2 License No. 2808S Phone No. 33 -2006 201 amps to 400 amps $50.00 2 401 amps to 600 amps $75 00 Over 600 amps to 1000 volts $100 00 2b. For owner installations: see "b" above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per pane Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip Each branch circuit $5.00 Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 a not intended for sale, lease or rent. First ddch b $$5.00 Each ddltioal branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40 00 Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension ,_ $40.00 40.00 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N.E.C. Chapter 5 Per inspection $35 00 Per hour $55.00 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ 40.00 NOTICE 5% Surcharge (.05 X total fees) $ Z • UU PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter v i of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reeview if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. midwornd.mei.. ❑ Trust Account # $ prm .pp Balance Due $ 42.00